PENGARUH PENGETAHUAN DAN MODIFIKASI LINGKUNGAN RUMAH TERHADAP PENCEGAHAN PENULARAN COVID-19 DI KECAMATAN ENDE TENGAH KABUPATEN ENDE

The Covid-19 virus is very easily transmitted, causing very high incidence of morbidity and mortality in the world since 2019. Covid-19 is a new virus that attacks the respiratory system, people are not fully familiar with it, so they still ignore health protocols causing transmission to continue to spread. It's good to prevent transmission starting at home, but with independent isolation at home, transmission of Covid-19 will easily occur from infected patients without symptoms to other family members. Central Ende District, where this research took place, there were 11 people in close contact, 42 people positive for the highest PCR SWAB in Ende Regency, 2 people in isolation at Ende Hospital, while 40 people are self-isolating at home. Family needs special attention in caring for self-isolation patients according to the 5 family tasks in the health sector, namely getting to know and modifying the home environment to prevent Covid-19 transmission. 19. Method. Design uses the Mix method with a cross sectional approach. The sample size is 40 patients in self-isolation at home using total sampling. Retrieval of data using questionnaires, and interviews. Bivariate Analysis: Chi-Square and Multivariate: Logistic Regression Test. Results: There is no influence of family knowledge of the Covid-19 problem on preventing Covid-19 transmission with a bivariate statistical test p-value 0.894 (p> 0.05). There is an effect of modifying the home environment of self-isolation patients on preventing Covid-19 transmission with the results of a bivariate statistical test p-value of 0.049. Conclusion: Modifying the home environment for self-isolation patients in preventing Covid-19 transmission is a health protocol that families must implement by including counseling family members by health center nurse

How reliable is MRI in diagnosing cartilaginous lesions in patients with first and recurrent lateral patellar dislocations?

<p>Abstract</p> <p>Background</p> <p>Lateral dislocation of the patella (LPD) leads to cartilaginous injuries, which have been reported to be associated with retropatellar complaints and the development of patellofemoral osteoarthritis. Therefore, the purpose of this study was to determine the reliability of MRI for cartilage diagnostics after a first and recurrent LPD.</p> <p>Methods</p> <p>After an average of 4.7 days following an acute LPD, 40 patients (21 with first LPDs and 19 with recurrent LPDs) underwent standardized 1.5 Tesla MRI (sagittal T1-TSE, coronal STIR-TSE, transversal fat-suppressed PD-TSE, sagittal fat-suppressed PD-TSE). MRI grading was compared to arthroscopic assessment of the cartilage.</p> <p>Results</p> <p>Sensitivities and positive predictive values for grade 3 and 4 lesions were markedly higher in the patient group with first LPDs compared to the group with recurrent LPDs. Similarly, intra- and inter-observer agreement yielded higher kappa values in patients with first LPDs compared to those with recurrent LPDs. All grade 4 lesions affecting the subchondral bone (osteochondral defects), such as a fissuring or erosion, were correctly assessed on MRI.</p> <p>Conclusions</p> <p>This study demonstrated a comparatively good diagnostic performance for MRI in the evaluation of first and recurrent LPDs, and we therefore recommend MRI for the cartilage assessment after a LPD.</p

The family preparedness of children in dealing with a flood disaster in Pau-Panda II Village, Wewaria sub-district of Ende Regency Indonesia

Background: For almost ten years Wewaria Village, Wewaria sub-district of Ende Regency suffered a flood disaster. The flood occurred in 2008, 2012, and 2016. Paupanda II Village has a puddle up to one and a half meter every year. Flood emergencies can cause family panic in rescuing themselves or their children under five. Children are a vulnerable group in the health sector because they cannot help themselves, when floods. If family preparedness is low, then the child’s health threatened, increasing the child’s morbidity or mortality rate. Purpose: This study explains or explore the experience of family preparedness who have children under five dealing with floods. Method: it used Purposive sampling in selecting the first informant then using snow ball sampling for the next informant. The number of samples is 9 people taken from a family of 6 people, 2 policy stakeholders, and 1 health worker. The qualitative analysis used is triangulation of data sources. Results: Family knowledge is well, but preparedness is still low for children needs, flood early warning, flood emergency response preparedness, and resource mobilization deal with floods.&nbsp